Provider Demographics
NPI:1427205434
Name:SAN DIEGO HOME HEALTH CARE AGENCY, INC
Entity Type:Organization
Organization Name:SAN DIEGO HOME HEALTH CARE AGENCY, INC
Other - Org Name:SAN DIEGO HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:HEWITT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:760-436-7344
Mailing Address - Street 1:511 ENCINITAS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-3778
Mailing Address - Country:US
Mailing Address - Phone:760-436-7344
Mailing Address - Fax:760-436-7346
Practice Address - Street 1:511 ENCINITAS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-3778
Practice Address - Country:US
Practice Address - Phone:760-436-7344
Practice Address - Fax:760-436-7346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health